S.D. Admin. R. 20:06:56:03

Current through Register Vol. 51, page 71, January 6, 2025

Section 20:06:56:03 - Essential health benefit packages

The essential health benefits package consists of the following categories of benefits:

(1) Ambulatory patient services;

(2) Emergency services;

(3) Hospitalization;

(4) Maternity and newborn care;

(5) Mental health and substance use disorder services, including behavioral health treatment;

(6) Prescription drugs;

(7) Rehabilitative and habilitative services and devices;

(8) Laboratory services;

(9) Preventive and wellness services and chronic disease management; and

(10) Pediatric services, including oral and vision care.

S.D. Admin. R. 20:06:56:03

39 SDR 203, effective 6/10/2013.

General Authority: SDCL 58-17-87, 58-18-79.

Law Implemented: SDCL 58-17-87, 58-18-79, 58-18-80.